Provider Demographics
NPI:1336103340
Name:KIRSHBAUM, FRANK I (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:I
Last Name:KIRSHBAUM
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:952-431-8598
Practice Address - Street 1:15290 PENNOCK LN - MAIL STOP 32200A
Practice Address - Street 2:HEALTHPARTNERS APPLE VALLEY CLINIC
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7163
Practice Address - Country:US
Practice Address - Phone:952-431-8500
Practice Address - Fax:952-431-8598
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2021-03-11
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Provider Licenses
StateLicense IDTaxonomies
MN32668207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNE19395Medicare UPIN